利用计算机断层扫描和患者人口统计资料估计胸椎硬膜外腔深度。

Q2 Medicine
Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-04-16 DOI:10.1155/2015/470240
Alyssa Kosturakis, Jose Soliz, Jackson Su, Juan P Cata, Lei Feng, Nusrat Harun, Ashley Amsbaugh, Rodolfo Gebhardt
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引用次数: 1

摘要

背景和目标。以前的研究使用了不同的方法来估计硬膜外腔的深度之前放置硬膜外导管。我们的目的是利用计算机断层扫描、患者人口统计学和椎体水平来估计胸椎硬膜外导管置入阻力丧失的深度。方法。我们回顾了连续接受胸椎硬膜外导管的患者的记录。收集患者人口统计资料、硬膜外放置位置和技术。术前复查计算机断层扫描以测量皮肤到硬膜外间隙的距离。采用线性回归进行多变量分析。结果。回顾了218例患者的记录。电阻测量的平均损失明显大于硬膜外间隙测量的平均损失0.79 cm (p < 0.001)。我们最终的多变量模型,调整了人口统计学和硬膜外技术,显示阻力损失与计算机断层扫描硬膜外间隙深度测量呈正相关(R (2) = 0.5692, p < 0.0001)。结论。测量的阻力损失与计算机断层硬膜外间隙深度测量和患者人口统计学呈正相关。对于接受胸部或腹部手术的患者,估计阻力损失可能是一个有价值的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Using computed tomography scans and patient demographic data to estimate thoracic epidural space depth.

Using computed tomography scans and patient demographic data to estimate thoracic epidural space depth.

Using computed tomography scans and patient demographic data to estimate thoracic epidural space depth.

Using computed tomography scans and patient demographic data to estimate thoracic epidural space depth.

Background and Objectives. Previous studies have used varying methods to estimate the depth of the epidural space prior to placement of an epidural catheter. We aim to use computed tomography scans, patient demographics, and vertebral level to estimate the depth of the loss of resistance for placement of thoracic epidural catheters. Methods. The records of consecutive patients who received a thoracic epidural catheter were reviewed. Patient demographics, epidural placement site, and technique were collected. Preoperative computed tomography scans were reviewed to measure the skin to epidural space distance. Linear regression was used for a multivariate analysis. Results. The records of 218 patients were reviewed. The mean loss of resistance measurement was significantly larger than the mean computed tomography epidural space depth measurement by 0.79 cm (p < 0.001). Our final multivariate model, adjusted for demographic and epidural technique, showed a positive correlation between the loss of resistance and the computed tomography epidural space depth measurement (R (2) = 0.5692, p < 0.0001). Conclusions. The measured loss of resistance is positively correlated with the computed tomography epidural space depth measurement and patient demographics. For patients undergoing thoracic or abdominal surgery, estimating the loss of resistance can be a valuable tool.

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来源期刊
Pain Research and Treatment
Pain Research and Treatment Medicine-Anesthesiology and Pain Medicine
CiteScore
3.60
自引率
0.00%
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